Imaging of GUCH (grown-ups with congenital heart disease)

Imaging in patients after correction of TOF Aurelio Secinaro, Rome/IT Description Thanks to advances in pediatric cardiology, most children with tetralogy of Fallot now survive into adulthood. This growing population of adult tetralogy of Fallot patients may face long-term morbidities/complications, including pulmonary regurgitation, right ventricular (RV) tract obstruction, residual shunts, RV dysfunction, and arrhythmias. These patients will often need to undergo pulmonary valve replacement and other invasive re-interventions. However, the most favourable timing for these procedures is challenging, primarily due to the complexity of evaluating RV volume and function. The options for the follow-up of these patients have progressively evolved from an angiography-based approach to the surge of non-invasive advanced imaging techniques, mainly echocardiography, cardiac magnetic resonance, and computer tomography. This lecture will outline the indications, strengths and limitations of these modalities in the adult Tetralogy of Fallot population. Imaging in patients after TGA Ricardo Budde, Rotterdam/NL Description Transposition of the great arteries (TGA) is a complex congenital heart defect in which the two main arteries carrying blood out of the heart, the main pulmonary artery and the aorta, are switched in position. Most neonates with TGA need to be treated by surgical correction soon after birth as the defect is critical to the oxygenation of the body. Imaging is crucial in diagnosing TGA as well as follow-up after the procedure. The webinar will cover background on TGA types, the most commonly used surgical correction methods and imaging findings during diagnosis and follow-up.